Impact of Family Psychoeducation Intervention on Relapse Prevention in Hospitalized Psychiatric Patients

Abstract

Background: Family psychoeducation is considered as an intervention focused on individual rehabilitation of mental disorders through improving the caregiver's awareness about their family member's illness, risk factors, and treatment component and relapse prevention strategies. Objectives: The aim of this study was to determine the impact of family psychoeducation on patients' relapse and length of stay in hospital. Methods: In this retrospective study, registered data in the health information management unit, including demographic data, acute symptoms and signs and medical history, was used and sample selection was done through a purposive sampling procedure. Participants consisted of 2192 patients with severe mental disorders admitted to Ibn Sina Psychiatric Hospital in Bandar Abbas, Iran since 2009 to 2014. The recipients of psychoeducation comprised all immediate family members of the patients in psychiatric hospital who were available at time of discharge. Subjects were receiving standard pharmacologic treatment and one session of individual family psychoeducation interventions. The psychoeducation was presented by a psychologist and a nurse upon patient discharge day from hospital between 2011 and 2014. The findings including recurrence rate and admission durations were compared with data collected during the three years leading to the intervention (2009 to 2011). Data was assessed through Paired-sample t-test. Results: The results revealed that receiving psychoeducation by family can positively affect the rate of readmission (t = 41.30, P < 0.001) and the length of stay in hospital (t = 39.10, P < 0.001). Conclusions: Since psychoeducation of caregivers can be significantly influential in reducing the recurrence rate and duration of hospitalization, it is advisable after discharge for patients suffering from chronic mental disorders.

Cuidados de enfermería del plan de transición de la unidad de salud mental al hogar: Scoping Review (Revisión de alcance)

“…En cuanto a las actividades de prevención del reingreso, y asociado con esta revisión, se incluyen acciones con el paciente y la familia; sin embargo, un estudio de 2019 recomienda como acción adicional la estrategia de psicoeducación familiar que mejora la conciencia del trastorno y brinda herramientas de afrontamiento (46). Asimismo, un estudio exploratorio reportó baja adherencia terapéutica, por lo que los autores informan que abordar de manera humanizada la asistencia con apoyo de tecnología contribuye a mejorar la atención y la confianza entre profesionales, pacientes y familia (36).…”

The Effectiveness of Relapse Prevention Intervention on the Ability of Patients and Their Families to Prevent Psychotic symptoms of Relapse among Patients with Schizophrenia: Systematic Literature Review

“…Similarly, the last study performed at a psychiatric hospital in Iran clarifies that family psycho-education is used as an intervention for patients with a mental illness by strengthening the awareness of the situation, risk factors, and recovery strategies for reducing relapse by the caregiver and families. 4049 participants were committed to a one-session individual family psychoeducational intervention directly after discharge 27 .. The seventh study was done in England at a mental health clinic.…”

“…In addition, FFT-CHR provides a three-module module that focuses on the ability of patients and their families to cope with psychotic symptoms. The last study was carried out by Niksalehi et al 27 . The results showed that family psycho-education can have a major impact on the risk of readmission and the period of hospital stay.…”

“…As well, familyfocused therapy for patients at clinical high risk for relapse including three-module; all of these modules focusing the ability of patients and their families to deal with psychotic symptoms 26 . Thus, family education will strengthen their effective interactions with patients, but it can also be seen as one of the biggest obstacles in the implementation of preparatory service for severe disease patients and has to be managed and evaluated in a continuous phase 27 .…”